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Poster Archives

The use and misuse of fresh frozen plasma: an analysis of 26,637 transfusion recipients

AABB 2011

Methods: We analyzed over three years of patient specific transfusion data from 29 US hospitals using the IMPACT Online database (Haemonetics, Braintree, MA). 26,637 patients who received 135,149 units of FFP were identified. Data was analyzed by dosage and by recipient age. View document

Appropriateness of red cell transfusion for patients with gastro-intestinal bleeding

SABM 2011

Methods: We analyzed over three years of patient specific transfusion data from 29 US hospitals using the IMPACT® Online database (Haemonetics, Braintree, MA). 13,407 patients with upper GIB and 6,772 with lower GIB who had endoscopy as part of their hospital treatment were identified. View document

Patterns of transfusion in obstetrical patients: information from the IMPACT® Online database

SABM 2011

Introduction: Little is known about current status of transfusion in obstetrical patients. We sought to understand the potential opportunities for improving blood management by analyzing transfusion data from a large number of patients having both vaginal and Caesarian deliveries. View document

The influence of comorbidity on red cell transfusions for patients with upper gastro-intestinal bleeding

SABM 2011

Methods: Final hemoglobin for patients receiving a transfusion, defined as the last recorded hemoglobin prior to discharge, was included in the analysis as an indicator of transfusion practice. We looked at age, percent transfused, units transfused, and final hemoglobin of transfused patients in separate cohorts of CCI to determine if there was a correlation between the CCI and transfusion practice. View document

By how much does a single unit transfusion increase the recipient’s hemoglobin?

AABB 2010

Methods: The effect of a single unit RBC transfusion on the recipient’s Hgb was measured in 113 patients who received only one unit of stored RBC (allogeneic or predonated autologous) during their hospital stay. Only patients who had both pre and post-transfusion measurements were included and we selected only those patients who were transfused on postoperative day 2 or 3 to eliminate the confounding variables of ongoing blood loss and/or infusion of shed blood. View document

SABM 2010

Conclusion: The implementation of post-operative blood salvage with cell washing (OrthoPAT) resulted in the recovery of more than one unit of red cells per patient and reduced stored blood use by 48%. Post-operative salvage should be considered a first-line transfusion strategy in joint replacement surgery. View document

Final hemoglobin – a proposed metric for understanding the “transfusion trigger”

SABM 2010

Results: As shown in the table, Hospital A’s allogeneic transfusion rate (34%) is lower than that of Hospital B (42%). The final hemoglobin metric reveals that the lower rate was achieved (at least in part) by adopting a lower hemoglobin trigger for RBC transfusion since Hospital A’s transfused patients were discharged with lower final hemoglobin values than transfused patients at Hospital B. "Over transfusion" in Hospital B is suggested by the fact that half of their transfused patients were discharged with a final hemoglobin > 10g/dL. View document